The nurse knows that the primary health care professional will order which medication to help with disordered thinking for the patient with anorexia nervosa?
1. Amitriptyline (Elavil)
2. Olanzapine (Zyprexa)
3. Bupropion (Wellbutrin)
4. Tranylcypromine (Parnate)
Answer: 2
Explanation: Research shows that second-generation antipsychotic medications such as olanzapine may be effective in achieving more rapid weight gain, reducing obsessional thinking, and limiting the denial that assumes delusional proportions in size and body shape. Bupropion should be avoided due to risk of seizures; tricyclic antidepressants (such as amitriptyline) and MAOIs (such as tranylcypromine) should not be considered in underweight patients and have an overall potential for lethality and toxicity.
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The nurse is caring for a client who is wheelchair bound. Which interventions will the nurse implement to prevent skin breakdown? (Select all that apply.)
a. Change the client's position every 1 to 2 hours. b. Place pillows under the client's heels. c. Have the client do wheelchair pushups. d. Remove the client's shoes to check for pressure areas. e. Assess the client's lower legs for pressure from the wheelchair. f. Massage the client's calves and feet with lotion.
During an assessment, the patient asks why the nurse is "feeling her armpit." How should the nurse respond?
Select all that apply. 1. "I'm counting the ribs." 2. "Don't you feel your own armpits?" 3. "Breast tissue extends into this area." 4. "I'm assessing hair distribution in this area." 5. "The armpits should be part of a breast self-exam."
Milestones of fetal development are:
1. Blood cells are manufactured by the liver. 2. The kidneys produce urine. 3. Surfactant levels are adequate for respiration. 4. The eyelids begin to open and close. The nurse explains that they occur in what order? A) 2, 4, 1, 3 B) 2, 4, 3, 1 C) 1, 4, 3, 2 D) 2, 3, 1, 4
The Epstein-Barr virus is responsible for which of the following?
a. erythema infectiosum c. mumps b. infectious mononucleosis d. roseola